Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $65.86 / $141.77	Professional		$49.86	$65.86	$141.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.08 / $80.25	Professional	26	$19.95	$25.08	$80.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.91 / $39.20 / $99.38	Professional	TC	$29.91	$39.20	$99.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $194.69 / $383.49	Professional		$29.66	$194.69	$383.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $79.95 / $164.16	Professional	26	$11.95	$79.95	$164.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $114.73 / $226.57	Professional	TC	$17.71	$114.73	$226.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.24 / $95.73 / $135.88	Facility	26	$84.24	$95.73	$135.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $106.38 / $212.28	Professional		$37.22	$106.38	$212.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $36.22 / $81.93	Professional	26	$13.42	$36.22	$81.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $68.91 / $139.22	Professional	TC	$20.02	$68.91	$139.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $79.75 / $424.65	Professional		$48.97	$79.75	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $39.40 / $214.00	Professional	26	$20.96	$39.40	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.55 / $45.58 / $272.93	Professional	TC	$28.55	$45.58	$272.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $65.00 / $154.60	Professional		$24.41	$65.00	$154.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $185.11 / $259.63	Professional		$126.59	$185.11	$259.63
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $122.62	Facility	26	$100.00	$100.00	$122.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $333.40 / $424.65	Professional		$36.24	$333.40	$424.65
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $142.75 / $214.00	Professional	26	$14.05	$142.75	$214.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $190.65 / $272.93	Professional	TC	$23.21	$190.65	$272.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $102.85 / $389.35	Professional		$53.77	$102.85	$389.35
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.15 / $22.15 / $105.54	Professional	26	$22.15	$22.15	$105.54
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.29 / $32.29 / $153.88	Professional	TC	$32.29	$32.29	$153.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $66.68 / $188.19	Professional		$45.48	$66.68	$188.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.04 / $78.59 / $143.83	Professional	26	$26.04	$78.59	$143.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $38.13 / $114.26	Professional	TC	$28.08	$38.13	$114.26